Skip to main content Accessibility help
×
×
Home

Association of increased monetary cost of dietary intake, diet quality and weight management in Spanish adults

  • Helmut Schröder (a1) (a2), Luis Serra-Majem (a3) (a4), Isaac Subirana (a2) (a5), Maria Izquierdo-Pulido (a4) (a6), Montserrat Fitó (a1) (a4) and Roberto Elosua (a5)...
  • Please note a correction has been issued for this article.
Abstract

Higher monetary diet cost is associated with healthier food choices and better weight management. How changes in diet cost affect changes in diet quality and weight remains unknown. The aim of this study was to assess the impact of changes in individual monetary diet cost on changes in diet quality, measured by the modified Mediterranean diet score recommendations (MDS-rec) and by energy density (ED), as well as changes in weight and BMI. We conducted a prospective, population-based study of 2181 male and female Spaniards aged between 25 and 74 years, who were followed up to the 2009–2010 academic year. We measured weight and height and recorded dietary data using a validated FFQ. Average food cost was calculated from official Spanish government data. We fitted multivariate linear and logistic regression models. The average daily diet cost increased from 3·68(SD0.0·89)€/8·36 MJ to 4·97(SD1·16)€/8·36 MJ during the study period. This increase was significantly associated with improvement in diet quality (Δ ED and Δ MDS-rec; P<0·0001). Each 1€ increase in monetary diet cost per 8·36 MJ was associated with a decrease of 0·3 kg in body weight (P=0·02) and 0·1 kg/m2 in BMI (P=0·04). These associations were attenuated after adjusting for changes in diet quality indicators. An improvement in diet quality and better weight management were both associated with an increase in diet cost; this could be considered in food policy decisions.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Association of increased monetary cost of dietary intake, diet quality and weight management in Spanish adults
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Association of increased monetary cost of dietary intake, diet quality and weight management in Spanish adults
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Association of increased monetary cost of dietary intake, diet quality and weight management in Spanish adults
      Available formats
      ×
Copyright
Corresponding author
* Corresponding author: Dr H. Schröder, fax +34 933 160 796, email hschroeder@imim.es
References
Hide All
1. Mozaffarian, D, Appel, LJ & Van Horn, L (2011) Components of a cardioprotective diet: new insights. Circulation 123, 28702891.
2. O’Neil, A, Quirk, SE, Housden, S, et al. (2014) Relationship between diet and mental health in children and adolescents: a systematic review. Am J Public Health 104, e31e42.
3. Beaglehole, R, Bonita, R, Horton, R, et al. (2011) Priority actions for the non-communicable disease crisis. Lancet 377, 14381447.
4. French, SA (2003) Pricing effects on food choices. J Nutr 133, 841S843S.
5. Rao, M, Afshin, A, Singh, G, et al. (2013) Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ Open 3, e004277.
6. Beydoun, MA, Shroff, MR, Chen, X, et al. (2011) Serum antioxidant status is associated with metabolic syndrome among U.S. adults in recent national surveys. J Nutr 141, 903913.
7. FAOSTAT (2015) Food and Agriculture Organization of the United Nations, Statistics Division. http://faostat3.fao.org/download/P/CP/E (accessed October 2015).
8. Información de precios (Base de datos) (2015) Spanish Ministry of Economy and Competitiveness. http://www.comercio.gob.es/es-ES/comercio-interior/Precios-y-Margenes-Comerciales/Informacion-de-precios-(bases-de-datos)/Paginas/Precios-Origen-Destino-.aspx (accessed March 2012).
9. Schroder, H, Covas, M, Elosua, R, et al. (2008) Diet quality and lifestyle associated with free selected low-energy density diets in a representative Spanish population. Eur J Clin Nutr 62, 11941200.
10. Schroder, H, Vila, J, Marrugat, J, et al. (2008) Low energy density diets are associated with favorable nutrient intake profile and adequacy in free-living elderly men and women. J Nutr 138, 14761481.
11. Savage, JS, Marini, M & Birch, LL (2008) Dietary energy density predicts women’s weight change over 6 y. Am J Clin Nutr 88, 677684.
12. Vernarelli, JA, Mitchell, DC, Rolls, BJ, et al. (2015) Dietary energy density is associated with obesity and other biomarkers of chronic disease in US adults. Eur J Nutr 54, 5965.
13. Benitez-Arciniega, AA, Mendez, MA, Baena-Diez, JM, et al. (2011) Concurrent and construct validity of Mediterranean diet scores as assessed by an FFQ. Public Health Nutr 14, 20152021.
14. Schroder, H, Covas, MI, Marrugat, J, et al. (2001) Use of a three-day estimated food record, a 72-hour recall and a food-frequency questionnaire for dietary assessment in a Mediterranean Spanish population. Clin Nutr 20, 429437.
15. Sofi, F, Macchi, C, Abbate, R, et al. (2014) Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score. Public Health Nutr 17, 27692782.
16. Estruch, R, Ros, E, Salas-Salvadó, J, et al. (2013) Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 368, 12791290.
17. Schröder, H, Salas-Salvadó, J, Martínez-González, MA, et al. (2014) Baseline adherence to the Mediterranean diet and major cardiovascular events: Prevención con Dieta Mediterránea trial. JAMA Intern Med 174, 16901692.
18. Funtikova, AN, Benitez-Arciniega, AA, Gomez, SF, et al. (2014) Mediterranean diet impact on changes in abdominal fat and 10-year incidence of abdominal obesity in a Spanish population. Br J Nutr 111, 14811487.
19. Ledikwe, JH, Blanck, HM, Khan, LK, et al. (2005) Dietary energy density determined by eight calculation methods in a nationally representative United States population. J Nutr 135, 273278.
20. Johnson, L, Wilks, DC, Lindroos, AK, et al. (2009) Reflections from a systematic review of dietary energy density and weight gain: is the inclusion of drinks valid? Obes Rev 10, 681692.
21. Mendez, MA, Popkin, BM, Buckland, G, et al. (2011) Alternative methods of accounting for underreporting and overreporting when measuring dietary intake-obesity relations. Am J Epidemiol 173, 448458.
22. Mifflin, MD, St Jeor, ST, Hill, LA, et al. (1990) A new predictive equation for resting energy expenditure in healthy individuals. Am J Clin Nutr 51, 241247.
23. Black, AE (2000) Critical evaluation of energy intake using the Goldberg cut-off for energy intake: basal metabolic rate. A practical guide to its calculation, use and limitations. Int J Obes Relat Metab Disord 24, 11191130.
24. Elosua, R, Garcia, M, Aguilar, A, et al. (2000) Validation of the Minnesota leisure time physical activity questionnaire in Spanish women. Investigators of the MARATDON Group. Med Sci Sports Exerc 32, 14311437.
25. Elosua, R, Marrugat, J, Molina, L, et al. (1994) Validation of the Minnesota leisure time physical activity questionnaire in Spanish men. The MARATHOM Investigators. Am J Epidemiol 139, 11971209.
26. Morris, MA, Hulme, C, Clarke, GP, et al. (2014) What is the cost of a healthy diet? Using diet data from the UK Women’s Cohort Study. J Epidemiol Community Health 68, 10431049.
27. Monsivais, P, Rehm, CD & Drewnowski, A (2013) The DASH diet and diet costs among ethnic and racial groups in the United States. JAMA Intern Med 173, 19221924.
28. Schroder, H, Fito, M & Covas, MI (2007) Association of fast food consumption with energy intake, diet quality, body mass index and the risk of obesity in a representative Mediterranean population. Br J Nutr 98, 12741280.
29. Collaborators USBoD (2013) The state of US health, 1990–2010: burden of diseases, injuries, and risk factors. JAMA 310, 591608.
30. Epstein, LH, Dearing, KK, Paluch, RA, et al. (2007) Price and maternal obesity influence purchasing of low- and high-energy-dense foods. Am J Clin Nutr 86, 914922.
31. Herman, DR, Harrison, GG, Afifi, AA, et al. (2008) Effect of a targeted subsidy on intake of fruits and vegetables among low-income women in the Special Supplemental Nutrition Program for Women, Infants, and Children. Am J Public Health 98, 98105.
32. Beunza, JJ, Toledo, E, Hu, FB, et al. (2010) Adherence to the Mediterranean diet, long-term weight change, and incident overweight or obesity: the Seguimiento Universidad de Navarra (SUN) cohort. Am J Clin Nutr 92, 14841493.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Type Description Title
WORD
Supplementary materials

Schröder supplementary material
Table S1-S2 and Figure S1-S2

 Word (60 KB)
60 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed